Focused Care at Mount Pleasant

Nursing Home · Mount Pleasant, TX

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number455900
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1606 Memorial Ave
Mount Pleasant, TX 75455
Titus County
Phone
(903) 572-3618
ZIP code
75455 – all care providers

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Facility details

Certified beds
122
Residents per day
71.5 (59% occupied)
Ownership
For profit - Limited Liability company
Legal name
Fpacp Mount Pleasant LLC
Chain
Focused Post Acute Care Partners (25 facilities, avg 1.9★)
Medicare certified since
November 12, 1990
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.16 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.38 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.65 (state 0.95 · U.S. 0.86)
Nurse aides
2.13 (state 2.00 · U.S. 2.32)
Weekend total
2.92 (state 2.98 · U.S. 3.42)
Nursing staff turnover
48.4 (state 55.3 · U.S. 45.8)%
RN turnover
61.5 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 2, 2025
Health deficiencies (last cycle)
18.0 (state 9.3 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
74 health · 6 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-12
2026-05-20 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-12
2026-01-13 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-02
2025-11-26 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-11-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-11-26 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-11-26 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-11-26 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-27
2025-11-26 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-09-08 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-01
2025-07-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-07-02 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-07-02 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-07-02 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-07-02 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-07-02 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-07-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-07-02 Have policies on smoking.
F0926 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-01
2025-04-17 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-22
2025-02-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-10
2024-12-19 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-27
2024-05-24 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2024-05-25
2024-05-24 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2024-05-25
2024-05-24 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-05-24 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F0849 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-03-24 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-23
2024-03-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-23
2024-02-14 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-03-14
2024-02-14 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-14
2024-02-14 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-14
2024-02-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

7 penalties in the last three years, including $223,296 in fines.

DateTypeAmount
2025-06-25Payment Denial7 days payment denial
2025-06-25Fine$16,149
2025-06-25Fine$16,149
2024-05-24Fine$127,486
2024-02-14Fine$12,259
2023-10-09Payment Denial22 days payment denial
2023-10-09Fine$51,253

Ownership & management

NameRoleSince
Fpacp Mount Pleasant LLC (organization)5%+ Direct Ownership Interest · 100%
Focused Post Acute Care Partners LLC (organization)Administrator · NOT APPLICABLE
Focused Post Acute Care Partners Management, LLC (organization)Administrator · NOT APPLICABLE
Oney, Whitney (individual)Administrator · NOT APPLICABLE
Willard, Lori (individual)Administrator · NOT APPLICABLE
Zarcone, Gregory (individual)Administrator · NOT APPLICABLE
Conley, Shawn (individual)Corporate Officer · NOT APPLICABLE
McKenzie, Mark (individual)Corporate Officer · NOT APPLICABLE
Strubbe, Loretta (individual)Corporate Officer · NOT APPLICABLE
Focused Post Acute Care Partners LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Conley, Shawn (individual)Operational/managerial Control · NOT APPLICABLE
Easley, Adrieannia (individual)Operational/managerial Control · NOT APPLICABLE
Focused Post Acute Care Partners LLC (organization)Operational/managerial Control · NOT APPLICABLE
Focused Post Acute Care Partners Management, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Fpacp Mount Pleasant LLC (organization)Operational/managerial Control · NOT APPLICABLE
McKenzie, Mark (individual)Operational/managerial Control · NOT APPLICABLE
Oney, Whitney (individual)Operational/managerial Control · NOT APPLICABLE
Strubbe, Loretta (individual)Operational/managerial Control · NOT APPLICABLE
Willard, Lori (individual)Operational/managerial Control · NOT APPLICABLE
Zarcone, Gregory (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Focused Care at Mount Pleasant?

Focused Care at Mount Pleasant has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Focused Care at Mount Pleasant have?

It has 122 certified beds and cares for about 72 residents per day.

Has Focused Care at Mount Pleasant been fined?

Yes. CMS lists 7 penalties totaling $223,296 in the last three years.

Who owns Focused Care at Mount Pleasant?

It is part of Focused Post Acute Care Partners and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Focused Care at Mount Pleasant?

(903) 572-3618. The facility is located at 1606 Memorial Ave, Mount Pleasant, TX 75455.

Other nursing homes in Mount Pleasant

Compare all nursing homes in Mount Pleasant, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.